FHIR Clincal Guidelines (v0.1.0) (STU1 Ballot)

This page is part of the Clinical Guidelines (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

VA_CKD_Protocol

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:PlanDefinition;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "va-ckd-protocol"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-protocoldefinition";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-protocoldefinition>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: va-ckd-protocol</p><p><b>meta</b>: </p><p><b>url</b>: <a href=\"http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-protocol\">http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-protocol</a></p><p><b>identifier</b>: VA_CKD_Protocol (OFFICIAL)</p><p><b>version</b>: 0.1.0</p><p><b>name</b>: VA_CKD_Protocol</p><p><b>title</b>: VA CKD Protocol</p><p><b>type</b>: Clinical Protocol <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/plan-definition-type code 'clinical-protocol' = 'Clinical Protocol', given as 'Clinical Protocol'})</span></p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: Jul 27, 2019 8:00:00 PM</p><p><b>publisher</b>: HL7 FHIR Clinical Guidelines Example Artifact</p><p><b>description</b>: VA CKD Protocol</p><p><b>useContext</b>: </p><p><b>jurisdiction</b>: World <span style=\"background: LightGoldenRodYellow\">(Details : {http://unstats.un.org/unsd/methods/m49/m49.htm code '001' = 'World', given as 'World'})</span></p><p><b>copyright</b>: Copyright © Example.org 2019.</p><p><b>approvalDate</b>: Jul 28, 2019</p><p><b>lastReviewDate</b>: Jul 28, 2019</p><p><b>effectivePeriod</b>: Jul 28, 2019 12:00:00 AM --&gt; (ongoing)</p><p><b>topic</b>: Treatment <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/definition-topic code 'treatment' = 'Treatment', given as 'Treatment'})</span></p><p><b>author</b>: </p><blockquote><p><b>action</b></p><p><b>id</b>: 001</p><p><b>title</b>: History and Phyiscal</p><p><b>description</b>: Obtain initial clinical information: medical history (including risk factors for kidney disease), physical examination and review existing laboratory results.</p><p><b>code</b>: History and Physical <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'history-and-physical' = 'History and Physical', given as 'History and Physical'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 002</p><p><b>title</b>: At-Risk Population</p><p><b>description</b>: Evaluate at-risk patients for CKD: obtain SCr, eGFR, urinalysis, &amp; spot urine UAER.</p><p><b>code</b>: History and Physical <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'history-and-physical' = 'History and Physical', given as 'History and Physical'})</span></p></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 003</p><p><b>title</b>: Urgent/Emergent Conditions</p><p><b>description</b>: Does patient have an urgent or emergent condition?</p><p><b>code</b>: Triage <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'triage' = 'Triage', given as 'Triage'})</span></p><h3>Actions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><blockquote><p><b>action</b></p><p><b>id</b>: 004</p><p><b>title</b>: Criteria for Confirmed CKD</p><p><b>description</b>: Does patient have evidence of CKD?</p><p><b>code</b>: Determine Diagnosis <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process code 'determine-diagnosis' = 'Determine Diagnosis', given as 'Determine Diagnosis'})</span></p><h3>Conditions</h3><table class=\"grid\"><tr><td>-</td><td><b>Kind</b></td><td><b>Expression</b></td></tr><tr><td>*</td><td>applicability</td><td/></tr></table><h3>Actions</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr><tr><td>*</td></tr></table></blockquote></div>"
  ];
  fhir:PlanDefinition.url [ fhir:value "http://hl7.org/fhir/uv/cpg/PlanDefinition/va-ckd-protocol"];
  fhir:PlanDefinition.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.value [ fhir:value "VA_CKD_Protocol" ]
  ];
  fhir:PlanDefinition.version [ fhir:value "0.1.0"];
  fhir:PlanDefinition.name [ fhir:value "VA_CKD_Protocol"];
  fhir:PlanDefinition.title [ fhir:value "VA CKD Protocol"];
  fhir:PlanDefinition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/plan-definition-type" ];
       fhir:Coding.code [ fhir:value "clinical-protocol" ];
       fhir:Coding.display [ fhir:value "Clinical Protocol" ]     ]
  ];
  fhir:PlanDefinition.status [ fhir:value "draft"];
  fhir:PlanDefinition.experimental [ fhir:value "true"^^xsd:boolean];
  fhir:PlanDefinition.date [ fhir:value "2019-07-27T20:00:00-04:00"^^xsd:dateTime];
  fhir:PlanDefinition.publisher [ fhir:value "HL7 FHIR Clinical Guidelines Example Artifact"];
  fhir:PlanDefinition.description [ fhir:value "VA CKD Protocol"];
  fhir:PlanDefinition.useContext [
     fhir:index 0;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "focus" ];
       fhir:Coding.display [ fhir:value "Clinical Focus" ]     ];
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:709044004;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "709044004" ];
         fhir:Coding.display [ fhir:value "Chronic kidney disease (disorder)" ]       ]     ]
  ];
  fhir:PlanDefinition.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ];
       fhir:Coding.code [ fhir:value "001" ];
       fhir:Coding.display [ fhir:value "World" ]     ]
  ];
  fhir:PlanDefinition.copyright [ fhir:value "Copyright © Example.org 2019."];
  fhir:PlanDefinition.approvalDate [ fhir:value "2019-07-28"^^xsd:date];
  fhir:PlanDefinition.lastReviewDate [ fhir:value "2019-07-28"^^xsd:date];
  fhir:PlanDefinition.effectivePeriod [
     fhir:Period.start [ fhir:value "2019-07-28T00:00:00-04:00"^^xsd:dateTime ]
  ];
  fhir:PlanDefinition.topic [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/definition-topic" ];
       fhir:Coding.code [ fhir:value "treatment" ];
       fhir:Coding.display [ fhir:value "Treatment" ]     ]
  ];
  fhir:PlanDefinition.author [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "Dave Carlson" ]
  ];
  fhir:PlanDefinition.action [
     fhir:index 0;
     fhir:Element.id [ fhir:value "001" ];
     fhir:PlanDefinition.action.title [ fhir:value "History and Phyiscal" ];
     fhir:PlanDefinition.action.description [ fhir:value "Obtain initial clinical information: medical history (including risk factors for kidney disease), physical examination and review existing laboratory results." ];
     fhir:PlanDefinition.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
         fhir:Coding.code [ fhir:value "history-and-physical" ];
         fhir:Coding.display [ fhir:value "History and Physical" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Element.id [ fhir:value "002" ];
     fhir:PlanDefinition.action.title [ fhir:value "At-Risk Population" ];
     fhir:PlanDefinition.action.description [ fhir:value "Evaluate at-risk patients for CKD: obtain SCr, eGFR, urinalysis, & spot urine UAER." ];
     fhir:PlanDefinition.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
         fhir:Coding.code [ fhir:value "history-and-physical" ];
         fhir:Coding.display [ fhir:value "History and Physical" ]       ]     ]
  ], [
     fhir:index 2;
     fhir:Element.id [ fhir:value "003" ];
     fhir:PlanDefinition.action.title [ fhir:value "Urgent/Emergent Conditions" ];
     fhir:PlanDefinition.action.description [ fhir:value "Does patient have an urgent or emergent condition?" ];
     fhir:PlanDefinition.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
         fhir:Coding.code [ fhir:value "triage" ];
         fhir:Coding.display [ fhir:value "Triage" ]       ]     ];
     fhir:PlanDefinition.action.action [
       fhir:index 0;
       fhir:Element.id [ fhir:value "003.1" ];
       fhir:PlanDefinition.action.title [ fhir:value "Refer to emergency department." ];
       fhir:PlanDefinition.action.description [ fhir:value "Refer to emergency department to manage or stabilize." ];
       fhir:PlanDefinition.action.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
           fhir:Coding.code [ fhir:value "triage" ];
           fhir:Coding.display [ fhir:value "Triage" ]         ]       ]     ]
  ], [
     fhir:index 3;
     fhir:Element.id [ fhir:value "004" ];
     fhir:PlanDefinition.action.title [ fhir:value "Criteria for Confirmed CKD" ];
     fhir:PlanDefinition.action.description [ fhir:value "Does patient have evidence of CKD?" ];
     fhir:PlanDefinition.action.code [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
         fhir:Coding.code [ fhir:value "determine-diagnosis" ];
         fhir:Coding.display [ fhir:value "Determine Diagnosis" ]       ]     ];
     fhir:PlanDefinition.action.condition [
       fhir:index 0;
       fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ];
       fhir:PlanDefinition.action.condition.expression [
         fhir:Expression.language [ fhir:value "text/cql" ];
         fhir:Expression.expression [ fhir:value "Has evidence of CKD?" ]       ]     ];
     fhir:PlanDefinition.action.action [
       fhir:index 0;
       fhir:Element.id [ fhir:value "004.1" ];
       fhir:PlanDefinition.action.title [ fhir:value "Stages of CKD." ];
       fhir:PlanDefinition.action.description [ fhir:value "Complete clinical assessment. Determine stage of CKD." ];
       fhir:PlanDefinition.action.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
           fhir:Coding.code [ fhir:value "determine-diagnosis" ];
           fhir:Coding.display [ fhir:value "Determine Diagnosis" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "004.2" ];
       fhir:PlanDefinition.action.title [ fhir:value "Strategies to Slow Progression." ];
       fhir:PlanDefinition.action.description [ fhir:value "Establish primary etiology of CKD and treatment plan to slow progression." ];
       fhir:PlanDefinition.action.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-common-process" ];
           fhir:Coding.code [ fhir:value "guideline-based-care" ];
           fhir:Coding.display [ fhir:value "Guideline-based Care" ]         ]       ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.